Hi, this is Neuro Doctor, an American Board Certified Neurologist with vast clinical experience, and I am very glad to help you with your question.
Could you tell what is your exact question for me?
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is there subsitute meds of similar strength that i could request
There are many other options for controlling joint pain
First let me ask this, what other meds have you tried?
morphine demerol atavan
Okay I see
You haven't tried nerve pain pills like Gabapentin, Pregabalin, Duloxetine etc for pain control, agree?
Okay, nerve-pain pills like Gabapentin, or Pregabalin, or Duloxetine, or Amitriptyline can also help with severe joint pain, so this is one option
these are quite effective for pain control
They should not induce annoying system overdrive, sleep problems etc
Are you considering them?
Do you want to learn more options too?
yes what ever works
Okay sure I will provide some more options
I am typing them I will post them here soon
just one sake, almost done
One of these pain relieving patches or creams from the below list can also help considerably;
Lidocaine anesthetic pain relieving skin patches - to apply over the painful joint
Flector nonsteroidal pain relieving skin patches - to apply over the painful joint
Capsaicin pain relieving skin cream - to apply over the painful joint
Voltaren pain relieving skin cream - to apply over the painful joint
A course of oral steroid like Prednisolone too can help in relieving this severe pain
And none of the above should cause the side effects you are concerned
You are very welcome!
I hope they help you significantly!
Do you have any further questions?